CAROLE LEE BROOKSHIRE MFT 115869
NPI 1912419607
Marriage & Family Therapist in Simi Valley, CA
About Carole Lee Brookshire Mft 115869 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLE LEE BROOKSHIRE MFT 115869 (NPI 1912419607) is an individual marriage & family therapist in Simi Valley, California, licensed in California (115869) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carole Lee Brookshire Mft 115869 is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Carole Brookshire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95054
- Reassigned Medicare billing, California enrollment
- 1,607 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carole Brookshire's NPI number?
The NPI number for Carole Brookshire is 1912419607. It was assigned to this individual provider in the NPPES registry on November 2, 2017.
Where is Carole Brookshire located?
Carole Brookshire practices at 250 E Easy St # 6B, Simi Valley, CA 93065. The listed phone number is (818) 613-8417.
What is Carole Brookshire's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Carole Brookshire enrolled in Medicare?
Yes. Carole Brookshire is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Carole Brookshire's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carole Brookshire reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carole Brookshire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Carole Brookshire was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Carole Lee Brookshire, MFT 115869 · NPI 1912419607
Marriage & Family Therapist provider in Simi Valley, California. Individual provider, active in the CMS NPPES registry since November 2, 2017.
## Identity
- **NPI:** 1912419607 (Entity type: Individual)
- **Enumerated:** November 2, 2017
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 115869 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 250 E EASY ST # 6B, Simi Valley, CA 93065-1769
- **Phone:** (818) 613-8417
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sud Specialty Group - Ca (NPI 1972138238, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** July 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1912419607) · Data from the CMS NPPES public registry.